Individual
KATHLEEN M. DERMADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
119 BELMONT ST, WORCESTER, MA 01605-2903
(508) 334-0550
(508) 334-8496
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN133233
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03054804
—
NY
Enumeration date
11/17/2005
Last updated
01/19/2022
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